Jefferson Physicians

JHN Journal - Summer 2019

jhn-journal

Some of the important work that the Neurological Spine Surgeons at Thomas Jefferson University Hospital and Jefferson Abington Hospital have done to improve patient outcomes through advancements in technology has been highlighted in studies in the JHN Summer 2019 Journal: 

  • Sacroiliac Joint Fusion: Impact of a New Image Guidance Protocol on Safety and Complications- Sacroiliac joint dysfunction is an increasingly-recognized source of low back pain. Review of our complication data confirms the safety of the procedure, with an overall complication rate of 10% at mean follow-up of 7.6 months. 
  • Spinal Cord Injury: Current and Novel Treatment Strategies- Although the overall incidence of spinal cord injury is decreasing in our population, it is still a major public health concern. With advancements in surgical, medical, and pharmacological research coming to fruition at a rapid pace, the outlook on evolving the care of these patients and their injuries is promising.
  • Multiple Contiguous-Level Cervical Disc Arthroplasties: Unique Considerations- Multilevel CDA has demonstrated unique biomechanics and complication profiles compared to arthrodesis and single-level arthroplasty. Multilevel arthroplasty offers advantages in patient-reported outcome measures to arthrodesis in appropriately selected patients. 
  • Minimal Access Expandable Mesh Device for Transforaminal Lumbar Interbody Fusion: A Case Series- Based on our limited experience, the mesh device is a safe, effective option for TLIF. Its main advantages appear to be decreased anatomical disruption during delivery and deployment, the ability to expand in all planes with conformity to the endplates, and greater surface area contact of bone for remodeling and fusion. 
  • Spinal Cord Stimulation in the 21st Century: Reviewing Innovation in Neuromodulation- Spinal cord stimulation has helped to bridge the treatment gap in these patients, and while progress so far has been encouraging, there remains much research to be done to fully understand the mechanisms and potential therapeutic reach of this modality.